New York State Department of Health, Wadsworth Center
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Xtra Care Pharmacy dba Freeport Medical Supply Inc
PFI: H623 Secondary Site ID: 0000 Certification Type: WAIVER Director: Horace A Hawthorne, D.O. Phone: (516) 208-7432 Fax: (516) 208-8096 Address: No Address Indicated, Freeport, NY 11520 County: Nassau Country: United States Single or Primary Contact: Chuck Madu Contact Phone: (718) 415-7440 CLIA #: 33D2351941
PFI: H624 Secondary Site ID: 0000 Certification Type: WAIVER Director: Beth A Preminger, M.D. Phone: (212) 706-1900 Fax: (917) 382-4126 Address: 969 Park Ave - Ste 1E, New York, NY 10028 County: New York Country: United States Single or Primary Contact: Contact Phone: CLIA #: 33D2350698
Mount Sinai South Nassau Laboratory at Valley Stream
PFI: H625 Secondary Site ID: 0000 Certification Type: FULL/WAIVER Director: Kristin L Sticco, D.O. Phone: (516) 632-3313 Fax: (516) 632-3335 Address: One South Central Ave, Valley Stream, NY 11580 County: Nassau Country: United States Single or Primary Contact: Ronaldo Manuel Contact Phone: (516) 497-7593 CLIA #: 33D2059310
PFI: H626 Secondary Site ID: 0000 Certification Type: WAIVER Director: Sunitha Korapati, M.D. Phone: (212) 448-5800 Fax: (877) 846-5908 Address: 63 Madison Ave - 11th Fl, New York, NY 10016 County: New York Country: United States Single or Primary Contact: Rebecca Sorenson Contact Phone: (480) 868-0646 CLIA #: 33D2350884
PFI: H634 Secondary Site ID: 0000 Certification Type: WAIVER Director: Todd D. Duthaler, D.O. Phone: (518) 899-2511 Fax: Address: 13 Curry Rd, Round Lake, NY 12151 County: Saratoga Country: United States Single or Primary Contact: Michael Dreher Contact Phone: (518) 744-3280 CLIA #: 33D2350717
PFI: H636 Secondary Site ID: 0000 Certification Type: WAIVER Director: David S. Dinello, M.D. Phone: (315) 475-1771 Fax: (315) 475-4601 Address: 139 N Main St, Cortland, NY 13045 County: Cortland Country: United States Single or Primary Contact: Damien Stiles Contact Phone: (607) 756-4167 CLIA #: 33D2350885
PFI: H638 Secondary Site ID: 0000 Certification Type: WAIVER Director: David D Wirtz, M.D. Phone: (607) 898-3135 Fax: Address: 308 Main St, Groton, NY 13073 County: Tompkins Country: United States Single or Primary Contact: Michael Lockwood Contact Phone: (607) 423-8997 CLIA #: 33D2351951
PFI: H640 Secondary Site ID: 0000 Certification Type: WAIVER Director: Aaron N Farney, M.D. Phone: (585) 268-5550 Fax: Address: 5184 State Rte 244, Belmont, NY 14813 County: Allegany Country: United States Single or Primary Contact: Tina Edmister Contact Phone: (716) 353-0466 CLIA #: 33D2351747
PFI: H659 Secondary Site ID: 0000 Certification Type: WAIVER Director: Marie S Ribisi, Pharm.D. Phone: (718) 516-4444 Fax: (718) 540-7692 Address: 2110 Newton Ave - 1st Fl, Long Island City, NY 11102 County: Queens Country: United States Single or Primary Contact: Marie S Ribisi Contact Phone: (718) 516-4444 CLIA #: 33D2352190